Toward Systemic Reform: Service Integration for Young Children and Their Families
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Toward Systemic Reform: Service Integration for Young Children and Their Families
Given the range and complexity of current service integration efforts, it seemed timely to launch a study of different service integration initiatives in four states (i.e., Colorado, Florida, Indiana, and Oregon), focusing on issues and trends integral to the service integration process. The resulting study, detailed on the pages within, had four major purposes: (1) to examine in a limited number of states and their communities how service integration functions as a comprehensive reform strategy and how it can improve human services for young children (birth to 5 years of age) and their families; (2) to explain linkages between the context, implementation, and results of service integration initiatives; (3) to explore the potential of service integration to target and improve specific child and family outcomes; (4) to articulate key findings and recommendations for the early care and education and service integration fields. The conceptual model for this study is based on three components-context, implementation, and results- and their interrelationships. We developed more than 30 hypotheses to guide our investigation. The hypotheses helped to frame our thinking and to generate field questions for use during site visits to the four states. We visited each of the four states for three days, interviewing a total of 162 people, averaging 40 contacts per state. Upon returning from the site visits, we drafted a descriptive case study of each state. We synthesized interview transcripts, written materials from the states, general literature, and our hypotheses, research questions, and conceptual model for the production of this report.
